This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Association between age and risk of stroke or death from carotid endarterectomy and carotid stenting: a meta-analysis of pooled patient data from four randomised trials. Lancet 2016; 387: 1305-1311.

Published: 12th October 2016

Authors: Howard G, Roubin GS, Jansen O, Hendrikse J, Halliday A, Fraedrich G et al.

Conclusion

Some 4754 patients from four studies were included. The risk of stroke or death in patients over 70 years of age was reduced in those who had carotid endarterectomy (hazard risk > 4), mainly due to the increased procedural risks of stenting in this group.

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